Individual provider Active NPI

William Franklin Rawlinson Jr., DMD

  • General Practice Dentistry
  • Manning, SC
National Provider Identifier
1962577429
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2081-6 Issued in SC
Practice address
601 A South Mill St
Manning, SC 29102
Phone
(803) 435-4463
Fax
(803) 435-4463
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2081-6 SC Primary

Addresses

Primary practice location

601 A South Mill St
Manning, SC 29102

Mailing address

PO Box 158
Manning, SC 29102
Phone (803) 435-4463

Other identifiers 1

IdentifierTypeStateIssuer
Z20816MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525000963 SC Order and Referring Only - DentistPractitioner - Dentist 9032408471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2081-6SCMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962577429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "29102",
            "telephone_number": "803-435-4463",
            "fax_number": "803-435-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 A SOUTH MILL ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "29102",
            "telephone_number": "803-435-4463",
            "fax_number": "803-435-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLINSON",
        "first_name": "WILLIAM",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2081-6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z20816",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manning, SC

Sources for this page

Verify at the official NPI Registry.